Healthcare Provider Details

I. General information

NPI: 1073721908
Provider Name (Legal Business Name): HELEN C HEALY, ND ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HELEN C SOLEY N.D.

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 01/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 JEFFERSON AVE SUITE 202
SAINT PAUL MN
55102-4741
US

IV. Provider business mailing address

905 JEFFERSON AVE SUITE 202
SAINT PAUL MN
55102-4741
US

V. Phone/Fax

Practice location:
  • Phone: 651-222-4111
  • Fax: 651-222-8758
Mailing address:
  • Phone: 651-222-4111
  • Fax: 651-222-8758

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number564
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1007
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: